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HomeMy Public PortalAbout5828TEMPLE CITY BLVD_Electrical (2) ; 7�5A66,17-c�B061t1-T) - APPLICATION FOR. ELECTRICAL PERMIT COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER ,tt BUILDING AND SAFETY DIVISION FNEAREST s ��$ T(3Yr� ry ��e Y -p- 1� Q t e 70` FOR APPLICANT TO FILL IN 7 / 'u��S /! /o ST. L I l6 loo NO. EACH FEE I $ $ OWNER RECEPT. 7 MAIL p�p j� 11�� W LQ� SIV LIGHT i TOTAL FIRST 20 25 ADDRESS'�� , SWITCH_ 3 OV9R 20 10 CITY Pat#YD1►A TEL. NO. PLAN CHECK /1 FIRST 20 ' ,P5 APPLICANT LIGHTING TOTAL �7 FIXTURES OVER 20 10 �Z5 ADDRESS �,' � I,wJ RESIDENTIAL APPLIANCES IJ CITY o � TEL. NO. f 2�b-05 PERMRANGE DRYER_WTR. HTR. APPLICANT 9 , o� 7 c' CANT COOK DISP. F.A.U. ADDRESS, 'OVa 26 SPACE HTR. AIR COND. CITY TEL. NO.6 -G/1") CLOTHES WASH. DISHWASH. LICENSE N0.z p® 2(p CLASS.C-10 FAN OTHER 1.0011 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE JS CORRECT AND AGREE TO COMPLY MOTORS, TRANSFORMERS RATING WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING IND. HEATERS, ETC. HP. KW.KVA. ELECTRICAL WIRING. SIZE & TYPE OVER . TO I HEREBY CERTIFY THAT i AM PROPERLY REGISTERED AND/OR 0 - 1 1,00 LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF > CALIFORNIA OR THAT I AM,THE LEGAL OWNER OF, AND INTEND TO O 1 - 10 3.00 RESIDE 1'N, THE ABOVE DESCRIBED RESIDENTIAL PROPERTY. U SIGNATURE 10 - 50 5.00 OF PERMITTEE O 50 - 100 10.00 G DISTRICT O. CLASS ZONE P OCE59 100 - 500 15.00 5 ' 11 (� I` Luh SIGN, GAS ][SirD ONE CIRCUIT 5.00 NOTES: Z TUBE, OR MARQUEE ADDITIONAL CIRCUITS 1.00 SERVICENOTOVER 600 VOLTS OR 200AMP 3.00 SERVICEOVER600 VOLTS OR 200AMP 10.00 APPROVALS DATE INSPECTOR'S SIGNATURE TEMP.POWER POLE TEMP SERVICE,POLE,&APPURTENANCES 5.00 UNDERSLAB WORK TEMP LIGHT OR RECEPT, SYSTEM 9.00 ROUGH CONDIUT WIRING FIXTURES X PERMIT FEE (SUBPOWER AUTHORIZEDTOTAL) �1 UTILITY CO. NOTIFIED] PLAN CHECK FEE +� PERMIT ISSUING FEE 800, FINAL � '��1� ljGq, _�lot, TOTAL FEE 10 PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. .0. CASH ( p� 0 2 3 573 FAR 29 2 D 4,0 0^' CQIF SEE BACK OF APPLICATION FOR COMPLETE SCHEDULE